Kodi mwana wanu wakhala akusewera bwino ndipo mwadzidzidzi anayamba kusanza kwambiri? Mwina kwa maola ambiri, kapena masiku awiri kapena atatu, amasanza mosalekeza. Kenako amayambanso kusewera ngati kuti palibe chomwe chachitika. Patapita miyezi ingapo, amayambanso kuchita zomwezo. Izi zingachitike osati kwa inu nokha, komanso kwa munthu wamkulu. Lero tikulankhula za kusanza kwakukulu kumeneku komwe kumabwera ndi kutha popanda chifukwa chilichonse chomveka.
Kodi Cyclic Vomiting Syndrome (CVS) ndi chiyani?
Mwachidule, Cyclic Vomiting Syndrome (CVS) ndi vuto lomwe limayambitsa nseru ndi kusanza popanda chifukwa chomveka. Chinthu chapadera ndichakuti nthawi imeneyi, mumakhala wathanzi komanso wopanda zizindikiro zilizonse.
Taganizirani ngati kusintha kwa thupi lathu. Mwadzidzidzi, kusinthaku 'kwayamba' ndipo kusanza kumayamba. Kungatenge maola ambiri, mwina masiku angapo. Panthawiyi, kungakhale kovuta kwambiri moti simungathe kudzuka pabedi. Mungafunike kupita kuchipatala ndikupatsidwa madzi amchere (IV fluids) kuti mupewe kutaya madzi m'thupi. Kenako, ngati kusinthaku 'kwatha', mwadzidzidzi zizindikiro zonse zimatha ndipo mubwerera ku moyo wabwinobwino.
Matendawa amatha kukhala kwa miyezi ingapo kapena zaka. Koma zizindikiro sizimakhalapo nthawi zonse. Nthawi zambiri, zimatha kuchitika kangapo pachaka. Kwa ena, zimatha kuchitika kamodzi kapena kawiri pamwezi. Mtundu wa zizindikiro, nthawi ya tsiku, kuopsa kwake, ndi nthawi ya zizindikiro nthawi zambiri zimakhala zofanana kwa munthu m'modzi nthawi iliyonse.
Kodi vutoli ndi lofala bwanji?
CVS imapezeka kwambiri mwa ana. Malinga ndi ziwerengero, pafupifupi ana atatu mwa ana 100,000 akhoza kukhala ndi vutoli. Nthawi zambiri, ana amayamba pakati pa zaka 3 ndi 7. Komabe, ndikofunikira kukumbukira kuti likhoza kuyamba pa msinkhu uliwonse.
Kodi zizindikiro za CVS ndi ziti?
Tikhoza kuzindikira kuti CVS imachitika m'magawo anayi akuluakulu, monga zochitika mu sewero.
| Gawo | Kufotokozera kosavuta kwa zomwe zikuchitika |
|---|---|
| 1. Gawo la Prodrome | Mphindi kapena maola angapo musanasanze, mumayamba kumva ngati, "Izi zikhala zovuta." Mungamve zinthu monga nseru ndi thukuta. Kwa anthu ambiri, izi zimayamba m'mawa kwambiri. |
| 2. Gawo la kusanza | Iyi ndi nthawi yovuta kwambiri. Mumasanza mosalekeza. Nthawi zina kangapo pa ola limodzi. Ana aang'ono amatha kusanza ndi mphuno. Izi zimatha kutenga maola angapo mpaka masiku angapo. Nthawi imeneyi zimakhala zovuta kwambiri moti mumakhala ngati muli pabedi nokha, simungathe kulankhula kapena kukhala ndi wina aliyense. |
| 3. Gawo lochira | Kusanza ndi nseru zikuchepa pang'onopang'ono, ndipo mukuyamba kumva bwino. Mukumva ngati mukubwerera ku moyo. |
| 4. Gawo la chitsime | Mudzakhala bwino kwambiri. Mudzabwerera ku moyo wanu wachizolowezi ngati kuti simunadwalepo. Nthawi yochirayi idzakhalapo mpaka nthawi ina mukadzasanza. |
Kuwonjezera pa magawo akuluakulu awa, zizindikiro zina zingapo zingawonekere:
- Kupweteka kwambiri m'mimba
- Kutsegula m'mimba (kupweteka m'mimba)
- Chizungulire kapena chizungulire
- Kutulutsa madzi kapena kutulutsa madzi
- Ludzu lalikulu
- Chilakolako cha chakudya
- Khungu lotumbululuka
- Mutu waukulu komanso kutopa kwambiri
- Kumva bwino kuwala kapena phokoso (maso abuluu, kuvutika kumva phokoso)
- Malungo (mpaka 101°F kapena 38.33°C)
- Kupuma pang'ono (kupuma movutikira) - Izi zikutanthauza kuti mukumva ngati mukufuna kusanza, koma palibe chomwe chikutuluka chifukwa mulibe chilichonse m'mimba mwanu.
N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti?
Sizikudziwika bwino ngati ichi ndi chomwe chimayambitsa CVS, koma pali zinthu zingapo zomwe zikuganiziridwa kuti zikuyambitsa vutoli.
- Mavuto okhudza ubongo ndi matumbo anu: Mwachidule, pali kulumikizana pakati pa ubongo wathu ndi mitsempha m'matumbo mwathu. Ngati china chake chalakwika ndi 'kulankhulana' kumeneku, kusanza kosalamulirika kumatha kuchitika. Asayansi ena amatcha izi kuti ndi matenda a ubongo ndi matumbo.
- Kusintha kwa dongosolo lanu la mitsempha la autonomic:Dongosolo ili limalamulira zinthu zomwe sitingathe kuzilamulira m'thupi lathu, monga kugunda kwa mtima, kuthamanga kwa magazi, ndi kusanza. Ngati china chake chalakwika ndi dongosololi, kusanza kumatha kuchitika.
- Mutu wa mutu waching'alang'ala: Pafupifupi 80% ya ana omwe ali ndi CVS ndi 25% ya akuluakulu nawonso ali ndi mutu waching'alang'ala. Mutu waching'alang'ala si mutu wokhawo woopsa. Monga CVS, mutu waching'alang'ala ukhoza kukhala wachilendo ukayamba. Anthu ambiri omwe ali ndi CVS ali ndi mbiri ya m'banja lawo ya mutu waching'alang'ala.
- DNA ya mitochondria yosazolowereka: Mitochondria ndi malo amphamvu a selo lililonse m'thupi lathu. Malangizo (DNA) omwe amawauza momwe angagwirire ntchito angasinthidwe ndi matenda, matenda a majini, kapena mankhwala/poizoni. Maselo a mitsempha m'matumbo athu amafunika mphamvu zambiri kuti agwire ntchito bwino. Pakakhala vuto ndi gwero la mphamvu limeneli (mitochondria), kusanza kosalamulirika kumatha kuchitika.
Kodi ndi zinthu ziti zomwe zimayambitsa CVS?
Zochitika zina, zakudya, ndi matenda amisala zimatha kuyambitsa kusanza. Izi timazitcha 'zoyambitsa'.
- Kusintha kwa nyengo (makamaka nthawi ya autumn ndi yozizira)
- Zakudya monga chokoleti, tchizi, khofi, ndi MSG
- Chisangalalo chochuluka cha ana (mwachitsanzo, phwando la kubadwa, pikiniki)
- Kupsinjika maganizo ndi nkhawa kwambiri mwa akuluakulu
- Matenda a chifuwa, matenda a sinus, kapena chimfine
- Kuchita zinthu mopitirira muyeso
- Kuyenda nthawi yayitali osadya
- Kugwiritsa ntchito chamba kwa nthawi yayitali
- Kusamba kwa akazi pamwezi
- Matenda oyenda
Ngati musamala nthawi imene inu kapena mwana wanu ayamba kusanza, kaya ndi pambuyo podya chinachake kapena pamene chinachake chokhumudwitsa chichitika, zidzakhala zosavuta kuzindikira zomwe zimayambitsa vutoli.
Kodi ndi mavuto otani omwe angabwere chifukwa cha izi?
Kusanza kosalekeza komanso koopsa kungawononge thupi lathu.
| Mavuto | Mwachidule... |
|---|---|
| Kusowa madzi m'thupi | Kutaya madzi ambiri m'thupi chifukwa cha kusanza ndi kutsegula m'mimba. Izi zitha kukhala zoopsa. |
| Kutupa kwa m'mimba | M'mero mwathu mwavulala komanso mwatupa chifukwa cha asidi m'mimba yomwe imabwera ndi kusanza. |
| Misozi ya Mallory-Weiss | Kupanikizika kwa kusanza kumatha kung'amba gawo la pansi la mmero mwathu. Izi zingayambitse magazi kutuluka pamodzi ndi kusanza. |
| Kuwola kwa dzino | Asidi wa m'mimba wolowa mkamwa amatha kusungunula enamel ya dzino ndikuyambitsa kuwola kwa dzino. |
Kodi dokotala angadziwe bwanji kuti ichi ndi CVS?
Kuzindikira matenda a CVS n'kovuta chifukwa palibe mayeso amodzi omwe amazindikira matendawa. Dokotala wanu adzafuna kuwonetsetsa kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana.
Dokotala wanu adzakufunsani zambiri zokhudza mbiri yanu yachipatala, mbiri yachipatala ya banja lanu, komanso momwe mumasanza. Kenako adzakuyezani thupi ndipo mwina adzakulamulani kuti muyesedwe kangapo.
Mayeso omwe angachitike
- Mayeso a magazi ndi mkodzo (Mayeso a labu): Mayesowa amathandiza kuona ngati pali matenda aliwonse a kagayidwe kachakudya m'thupi, matenda a mitochondrial, kapena mavuto ndi ziwalo zina m'thupi.
- Mayeso ojambulira: Izi zitha kuyang'ana mavuto omwe ali m'zigawo za m'mimba mwanu komanso m'mitsempha. Mwachitsanzo, mungapemphedwe kuti muchite ultrasound ya m'mimba, MRI kapena CT scan ya ubongo wanu, kapena mndandanda wa GI wapamwamba. Mayeso ochotsa m'mimba angafunikenso kuti muwone momwe chakudya chimayendera mwachangu m'matumbo mwanu.
- Endoscopy Yapamwamba: Kuyesa komwe kamera yaying'ono imayikidwa kudzera pakamwa kuti ione mavuto m'mero, m'mimba, ndi m'matumbo ang'onoang'ono.
Kodi chithandizo cha CVS ndi chiyani?
Chithandizo chimadalira gawo lomwe muli. Izi zikutanthauza kuti, kaya mukusanza kapena mukuyesera kupewa kusanza.
- Gawo la Prodrome: Zizindikiro zikayamba, mankhwala ochepetsa nseru, kuchepetsa asidi m'mimba, komanso kuchiza mutu waching'alang'ala angaperekedwe.
- Gawo la kusanza: Munthawi imeneyi, mudzapatsidwanso mankhwala ochizira mutu waching'alang'ala, kuchepetsa asidi m'mimba, komanso kuchepetsa nkhawa. Mungafunike kupita kuchipatala ndikupatsidwa madzi olowa m'thupi kuti mupewe kutaya madzi m'thupi. Kupumula pamalo amdima komanso chete panthawiyi kungathandize kuchepetsa zizindikiro.
- Pa nthawi yochira: Ngati kuli kofunikira, pitirizani kumwa mankhwala a saline, pang'onopang'ono muwonjezere zakumwa kenako zakudya zolimba.
- Mu Gawo la Chitsime: Dokotala angapereke mankhwala oletsa kusanza mtsogolo.
Mankhwala oletsa kupweteka mutu, mankhwala oletsa nseru, ndipo nthawi zina ngakhale mankhwala oletsa khunyu amagwiritsidwa ntchito pochiza.
Anthu ena apeza ubwino wochokera ku zakudya zowonjezera monga coenzyme Q10, riboflavin, ndi L-carnitine. Komabe, musayambe chilichonse popanda kufunsa dokotala wanu.
Kodi vutoli lingapewedwe?
Ngakhale kuti sizingatheke kupeweratu, chiopsezo cha kusanza mobwerezabwereza chingachepe.
- Dziwani zomwe zimayambitsa (zakudya, zochitika) ndipo pewani kuzichita momwe mungathere.
- Gwiritsani ntchito mankhwalawo monga momwe dokotala wanenera.
- Ngati muli ndi vuto la ziwengo ndi matenda a sinus, pitani kuchipatala mwachangu.
- Khalani otanganidwa, koma musadzipanikize kwambiri.
- Gonani bwino.
- Sinthani kupsinjika maganizo ndi nkhawa.
Mafunso oti mufunse dokotala
Mukapita kwa dokotala wanu, kungakhale kofunikira kufunsa mafunso awa.
- Ndi mayeso ati omwe ndiyenera kuchita kuti ndidziwe bwino ngati ndili ndi CVS?
- Ndi mankhwala ati omwe ndiyenera kumwa kuti ndisiye kusanza ndikuletsa kuti kusabwerenso?
- Ndi kusintha kotani kwa moyo komwe ndiyenera kuchita kuti ndipewe zinthu zomwe zingandipangitse kukhala ndi vuto la kugona?
- Ndi zinthu zina ziti zomwe ndingachite kuti ndichepetse zizindikiro?
- Ndi zizindikiro ziti zomwe ndiyenera kukuwonani, kapena ndipite mwachindunji ku ETU (Emergency Treatment Unit) ya chipatala?
CVS nthawi zambiri imakhala vuto lokhumudwitsa komanso lokhumudwitsa. Palibe njira imodzi yothetsera vutoli, ndipo palibe kusintha kwa moyo komwe kumagwirizana ndi aliyense komwe kuli koyenera kwa aliyense. Inu ndi dokotala wanu muyenera kugwira ntchito nanu kuti mupeze chithandizo choyenera komanso zoyambitsa matenda anu. Pakapita nthawi, anthu ambiri amakhala bwino popewa zinthu ndi zochitika zomwe zimawapangitsa kukhala osasangalala.
Uthenga Wopita Nawo Kunyumba
- CVS si kupweteka m'mimba kokha, ndi vuto lenileni lomwe limasinthana pakati pa nthawi yosanza ndi nthawi yokhala ndi thanzi labwino.
- Ngakhale kuti n'zovuta kupeza chomwe chikuyambitsa vutoli, pali njira zochizira. Chofunika kwambiri ndikupeza matenda olondola.
- Kuzindikira zinthu zomwe zimayambitsa matendawa (monga chakudya, nkhawa) kwa inu kapena mwana wanu ndi chithandizo chabwino kwambiri pothana ndi matendawa.
- Ngati kusanza kuli koopsa, makamaka ngati thupi silingathe kuchepetsa madzi m'thupi, ndikofunikira kwambiri kupita ku ETU (Emergency Treatment Unit) ya chipatala kuti mupewe kutaya madzi m'thupi.
- Musamwe mankhwala nokha. Nthawi zonse funsani dokotala wodziwa bwino ntchito kuti akupatseni malangizo.
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